Friday, May 28, 2010

TMcM - adrenal talk

Aldosteronoma:
- usually very small tumors
- if larger tumor on one side --> is it a redherring and its actullay another type of adrenal tumor
NP25 scan available at CCI for localizing
Adrdrenal venous sampling
pheo 30% are thought to be genetic
- now all pts get screened MEN2a/b, vHL, NF-1, tuberous sclerosis, SDH mutations
- pheos alpha block 2-3 wks before OR
- fluid load 3L day of surgery
- can tank pressures from other causes

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